NPI | 1578882007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: VA 0101273353) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TN 53280) |
Enumeration Date | 2010-05-24 |
Last Update Date | 2021-11-09 |